A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury. Which strategy should the nurse use to prepare the child for the dressing change?

Demonstrate dressing change with the client using a doll

Complete the dressing change while distracting the child

Have the child watch a video demonstrating the dressing change

Have the child assist with the dressing change

Answer and Explanation

The Correct Answer is A

A.   Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B.   Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C.   Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D.   Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.

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Correct Answer is C

Explanation

A. Educating the child's parents on hand hygiene is important but not specific to airborne precautions.
B. A surgical mask is not required for a child on airborne precautions unless the child is capable of wearing it.
C. Restricting contact to immune individuals helps prevent the spread of airborne infections, especially in vulnerable settings such as healthcare facilities.
D. Antibiotics should not be given prophylactically unless there is a specific bacterial infection, and airborne precautions are typically used for viral infections like tuberculosis or measles.

A. Wheat B. Rye C. Barley D. Rice

Correct Answer is D

Explanation

A. Wheat contains gluten, which should be avoided in individuals with celiac disease. Gluten can cause an immune response that damages the small intestine in these patients.
B. Rye also contains gluten and is not appropriate for a child with celiac disease. Gluten-free foods are necessary to prevent symptoms and intestinal damage.

C. Barley contains gluten, which makes it unsuitable for children with celiac disease. It should be avoided in the diet.
D. Rice is naturally gluten-free and is an appropriate food choice for a child with celiac disease. It can be included in the diet without causing an immune response. Other gluten-free grains such as corn, quinoa, and oats (if certified gluten-free) can also be suitable alternatives.

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A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury. Which strategy should the nurse use to prepare the child for the dressing change?

Nursing Test Bank

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